The language pertaining to caseload capacity for Peer Recovery Specialists is overly complex and restrictive for 2 reasons:

1. While it seems that the language is attempting to provide guidance on what is considered an encounter vs. a case, its leaves significant gray area for interpretation and provides little in terms of value to support the PRS or their supervisor in making determinations about workload.  Suggest an edit to indicate that PRS, like many other classifications of staff, serve multiple roles, as such quality supervision related to the PRS’s capacity to provide care and the population that are serve should be well documented and used to determine caseload size.

2. There is a failure to consider a PRS that works multiple positions, or at least no mention of this consideration.  For example, it is unclear how a peer that works full time as a PRS on a ACT team and who is responsible for 30 individuals could work a parttime position with the same or a different provider delivery billable recovery services as a PRS.  Suggested edit to define that a PRS can provide care for a caseload of up to 30 individuals in a Full Time (40 hour) work week.